Aligner Pliers Hole Punch produces 6.0mm half-moon cutouts for relief of very clear aligners all around bonded buttons employed for elastics. It also can nip away plastic to provide comfortable tissue clearance to circumvent aligner impingement of tissue. The hole punch is used to produce Spherical Cutouts for aid of https://www.ortix.co.uk/product/aligner-hole-punch-pliers/